Medical school: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated: 1992
Offers telehealth
NPI: 1124080213
Practice Locations (1)
HEALTHEAST MEDICAL RESEARCH INSTITUTE
6936 PINE ARBOR DR S, SUITE 100
COTTAGE GROVE, MN 550164661
6513265800
Source: CMS National Downloadable File, September 2026.